Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $38.90 / $38.90 / $38.90	Facility	26	$38.90	$38.90	$38.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $100.00 / $199.53	Professional		$72.44	$100.00	$199.53
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $15.85 / $43.65 / $194.98	Professional	26	$15.85	$43.65	$194.98
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $40.74 / $56.23 / $169.82	Professional	TC	$40.74	$56.23	$169.82
Ambetter Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $33.88 / $45.71	Professional	26	$33.88	$33.88	$45.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $199.53 / $691.83	Professional		$93.33	$199.53	$691.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $32.36 / $43.65 / $60.26	Professional	26	$32.36	$43.65	$60.26
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $46.77 / $54.95 / $537.03	Professional	TC	$46.77	$54.95	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $630.96	Professional		$83.18	$158.49	$630.96
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $18.62 / $30.20 / $67.61	Professional	26	$18.62	$30.20	$67.61
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $48.98 / $100.00 / $537.03	Professional	TC	$48.98	$100.00	$537.03
Medcost Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
Medcost Facility/Professional Professional Modifier 26 Low / Median / High Price $33.88 / $33.88 / $33.88	Professional	26	$33.88	$33.88	$33.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $33.11	Professional		$32.36	$32.36	$33.11
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $512.86	Professional		$89.13	$162.18	$512.86
United Facility/Professional Professional Modifier 26 Low / Median / High Price $16.98 / $35.48 / $79.43	Professional	26	$16.98	$35.48	$79.43
United Facility/Professional Professional Modifier TC Low / Median / High Price $54.95 / $100.00 / $467.74	Professional	TC	$54.95	$100.00	$467.74